Aetna Medical Economics Associate in Blue Bell, Pennsylvania

Req ID: 45493BR

POSITION SUMMARY

  • This is a role in a very fast paced and dynamic environment with a high performing team and there are high expectations. - This analytical position is responsible for supporting the achievement of the 2018 SAI Target for Network & Clinical Services and works collaboratively to determine the financial impact resulting from changes in Aetnas medical policy. This position is part of a team that provides focused analytical research, complex financial modeling and business decision support related to medical costs.

    Fundamental Components:

  • Participate in complex medical economic projects and business decision support - Influence changes and/or enhancements to business processes, medical policies, and system infrastructure to improve information quality, availability and access - Support the achievement of medical cost savings goals related to ideation and analysis for Scoreable Action Initiatives (SAIs). - The ideal candidate will have foundational knowledge of medical policy, as well as medical management concepts. - Expected to learn skills related to complex data collection, modeling & analysis. - Expected to learn skills related to Microsoft Excel & Microsoft Access and understand relational database concepts. SAS/SQL knowledge is a plus. - Must be able to appropriately prioritize & manage multiple projects while managing customer expectations and business priorities. - Expected to develop strong communication skills and contribute to an environment of teamwork with Medical Economics Unit internal & external constituents. - Requires foundational understanding of healthcare industry, healthcare data, and common healthcare terminology. - Expected to learn skills related to medical cost issues & medical cost mitigation strategies.

    BACKGROUND/EXPERIENCE desired:

    -Demonstrated project management experience with accountability for business results -Strong Analytical Skills - must be able to turn data into information and influence business decisions -Collaboration - must be able to work across teams and reach out for necessary information, input, and buy-in -Successfully Prioritize Competing Projects -Understand Medical Cost Drivers

    EDUCATION

    The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.

    FUNCTIONAL EXPERIENCES

    Functional - Actuarial/Modeling & tool development/1-3 Years

    TECHNOLOGY EXPERIENCES

    Technical - Reporting Tools/SAS/1-3 Years/

    REQUIRED SKILLS

    Benefits Management/Interacting with Medical Professionals/FOUNDATION

    Technology/Leveraging Technology/FOUNDATION

    DESIRED SKILLS

    General Business/Turning Data into Information/FOUNDATION

    General Business/Maximizing Work Practices/FOUNDATION

    ADDITIONAL JOB INFORMATION

    Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

    We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

    Together we will empower people to live healthier lives.

    Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

    We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

    Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

    Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Health Care